Blood-induced joint disease: the pathophysiology of hemophilic arthropathy

被引:235
作者
Valentino, L. A. [1 ,2 ]
机构
[1] Rush Univ, Med Ctr, Rush Hemophilia & Thrombophilia Ctr, Chicago, IL 60612 USA
[2] Rush Childrens Hosp, Dept Pediat, Rush Hemophilia & Thrombophilia Ctr, Chicago, IL USA
关键词
arthropathy; hemarthrosis; hemophilia; joint bleeding; joint damage; SMOOTH-MUSCLE-CELLS; HYPOXIA-INDUCIBLE FACTOR-1-ALPHA; JUVENILE IDIOPATHIC ARTHRITIS; ENDOTHELIAL GROWTH-FACTOR; VON-WILLEBRAND-FACTOR; BONE-MINERAL DENSITY; RHEUMATOID-ARTHRITIS; SYNOVIAL-FLUID; IN-VITRO; ARTICULAR-CARTILAGE;
D O I
10.1111/j.1538-7836.2010.03962.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Arthropathy is a frequent and serious complication of repeated joint bleeding in patients with hemophilia, resulting in pain, deformity, and disability. Although the pathogenesis of hemophilic arthropathy has not been fully elucidated, it appears to have similarities with the degenerative joint damage that occurs in osteoarthritis and the inflammatory processes associated with rheumatoid arthritis. This article reviews the potential actions of various blood constituents on joint components that culminate in the development of hemophilic arthropathy.
引用
收藏
页码:1895 / 1902
页数:8
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